Huzmeli Esra-Dogru, Korkmaz Nilufer-Cetisli, Duman Taskin, Gokcek Ozden
School of Physical Therapy and Rehabilitation, Hatay Mustafa Kemal University, Antakya, Turkey. E-mail:
Neurosciences (Riyadh). 2018 Oct;23(4):301-307. doi: 10.17712/nsj.2018.4.20180098.
To investigate the effects of sensory deficits on balance, functional status and trunk control in patients diagnosed with Guillain-Barre syndrome (GBS).
Twenty patients who were diagnosed with GBS and who were in the neurology department of Mustafa Kemal University in 2017, participated in this descriptive study. There were 11 males and 9 females, and the average age was 41.55+/-18.49 years. The trunk control of the GBS patients was assessed using the trunk impairment scale (TIS), reaching function was assessed using the functional reaching test (FRT) in the sitting position and body balance assessed using the Berg balance scale (BBS). Light touch was assessed using Semmes-Weinstein monofilament test, proprioception was assessed using the distal proprioception test and disability status was assessed using the Guillain-Barre syndrome disability scale (GBSDS).
We found a moderate, positive and significant correlation between proprioception scores and the BBS and between proprioception scores and the TIS. The correlation between proprioception and FRT in the sitting position and between proprioception and the GBSDS was not significant. We found a moderate and negative correlation between light touch and the FRT in the sitting position, TIS, BBS, but a moderate and positive correlation between light touch and the GBSDS.
Neurologists and physiotherapists should both take sensory and motor function into consideration in the assessment and rehabilitation program of patients diagnosed with GBS.
探讨感觉功能障碍对吉兰-巴雷综合征（GBS）患者平衡能力、功能状态和躯干控制能力的影响。
2017年在穆斯塔法·凯末尔大学神经科诊断为GBS的20例患者参与了这项描述性研究。其中男性11例，女性9例，平均年龄为41.55±18.49岁。采用躯干损伤量表（TIS）评估GBS患者的躯干控制能力，采用坐位功能性前伸测试（FRT）评估前伸功能，采用伯格平衡量表（BBS）评估身体平衡能力。采用Semmes-Weinstein单丝试验评估轻触觉，采用远端本体感觉测试评估本体感觉，采用吉兰-巴雷综合征残疾量表（GBSDS）评估残疾状态。
我们发现本体感觉评分与BBS之间、本体感觉评分与TIS之间存在中度、正性且显著的相关性。坐位时本体感觉与FRT之间以及本体感觉与GBSDS之间的相关性不显著。我们发现轻触觉与坐位FRT、TIS、BBS之间存在中度负相关，但轻触觉与GBSDS之间存在中度正相关。
神经科医生和物理治疗师在对GBS患者进行评估和康复计划时，应同时考虑感觉和运动功能。
